King Saud University, Health Administration Department, Riyadh, Saudi Arabia.
Front Public Health. 2021 Mar 3;9:615111. doi: 10.3389/fpubh.2021.615111. eCollection 2021.
Creating a holistic approach in healthcare services is the ultimate aim for the integrated healthcare system. Theoretically, healthcare policy makers constantly expected optimal operations within the hospitals through capitalizing the maximum potential of healthcare expertise, professionals, practitioners, and supporting staff. The objective of this study is to explore the role of healthcare individuals to sustain effective palliative care programs in a safe environment with high-quality of care. This study employed a mixed method (qualitative and quantitative) to accomplish the set objective. For this purpose, a balanced sampling technique was adopted and 28 healthcare professionals were selected in two stages (last week of January and the 1st week of February, 2020). These respondents were playing significant role in palliative care policy making process. In the first stage, respondents were classified into three parallel groups to document the major factors affecting palliative care reforms. To minimize the chance of individual biases, each group was supervised by an independent healthcare professional who was not involved in the study. Then, in the second stage, respondents were divided into two clusters for further abstraction of themes to analysis the data. In this phase, each group was comprised on 14 individuals. Data were transcribed, coded, and analyzed (subjectively and objectively) by using NVivo 12 to extract the final themes. These themes were described and analyzed quantitatively for further catchphrases abstraction to identify significant components. The initial results incorporated 36 key factors in building effective and sustained palliative healthcare centers. The domains were feasible and practical as they homogeneously patterned within cultural change. These were quality of care, effective management, institute of medicine criteria, and health governance. The Spearman correlation matrix showed significant relationships between the four critical components ( < 0.01 and < 0.05). This study explored and identified the significant factors that healthcare professional might consider to make their role more productive and effective in palliative care centers. The key findings also indicated the need of comprehensive periodic assessment especially from the perspective of managerial implications and quality of care.
在医疗保健服务中创建整体方法是综合医疗保健系统的最终目标。从理论上讲，医疗保健政策制定者一直期望通过充分利用医疗保健专业知识、专业人员、从业者和支持人员的最大潜力，使医院实现最佳运营。本研究旨在探讨医疗保健人员在安全环境中维持有效姑息治疗计划的作用，以提供高质量的护理。 本研究采用混合方法（定性和定量）来实现既定目标。为此，采用了平衡抽样技术，并在两个阶段（2020 年 1 月最后一周和 2 月第一周）选择了 28 名医疗保健专业人员。这些受访者在姑息治疗政策制定过程中发挥了重要作用。在第一阶段，受访者被分为三个平行组，以记录影响姑息治疗改革的主要因素。为了最大程度地减少个人偏见的机会，每个小组都由一名不参与研究的独立医疗保健专业人员监督。然后，在第二阶段，受访者被分为两个集群，以进一步抽象主题进行数据分析。在这一阶段，每个小组由 14 人组成。使用 NVivo 12 转录、编码和分析数据（主观和客观），以提取最终主题。这些主题进行了描述和分析，并对进一步的关键词抽象进行了量化，以确定重要组成部分。 初始结果包括 36 个建立有效和持续姑息医疗中心的关键因素。这些领域是可行和实用的，因为它们在文化变革中均匀地形成模式。这些因素包括护理质量、有效管理、医学研究所标准和卫生治理。斯皮尔曼相关矩阵显示了这四个关键组成部分之间的显著关系（<0.01 和 <0.05）。 本研究探讨并确定了医疗保健专业人员可能考虑的重要因素，以使他们在姑息治疗中心的角色更富有成效和更有效。主要发现还表明需要进行全面定期评估，特别是从管理意义和护理质量的角度来看。
